MEDICARE: JANET M WESSELLS CNM ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	ARNP104262	FL

General Provider Information

NPI Number	:	1811944473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET M WESSELLS CNM ARNP

Provider Business Mailing Address
First Line	:	PO BOX 25317
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-5317
Country	:	US
Telephone Number	:	813-286-0033
Fax Number	:	813-282-1806

Provider Business Practice Location Address
First Line	:	1501 S PINELLAS AVE
Second Line	:	SUITE T
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-1955
Country	:	US
Telephone Number	:	727-943-2229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	09/12/2007

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